Active NPI
St. Joseph Health Services of Ri
- General Acute Care Hospital
- North Providence, RI
National Provider Identifier
1841335783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- HOS00110
- Legal business name
- ST. JOSEPH HEALTH SERVICES OF RI
- Practice address
- 200 High Service Ave
North Providence, RI 02904-5113 - Phone
- (401) 456-3309
- Fax
- (401) 456-3762
- NPI assigned
- Feb 20, 2007
- Reactivated
- Dec 1, 2009
- Organization subpart
- Yes
- Parent organization
- ST JOSEPHS HEALTH SERVICES OF RI
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- H John Kiemig, CEO
- Title
- President
- Phone
- (401) 456-3309
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | HOS00110 | RI | Primary |
Addresses
Primary practice location
200 High Service Ave
North Providence, RI 02904-5113
Mailing address
200 High Service Ave
4TH FL. Marion Hall
North Providence, RI 02904-5113
Phone (401) 456-3309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SJ09331 | Medicaid | RI |
Other names 1
- EEG GROUP
National Provider Directory
National Provider Directory- Part of
- Psychiatric Health Serv
Locations
200 High Service Ave
Fl 4
North Providence, RI 02904
Phone (401) 456-3309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259625600000",
"number": "1841335783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HIGH SERVICE AVE",
"address_2": "4TH FL. MARION HALL",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029045113",
"telephone_number": "401-456-3309",
"fax_number": "401-456-3762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HIGH SERVICE AVE",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029045113",
"telephone_number": "401-456-3309",
"fax_number": "401-456-3762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOSEPH HEALTH SERVICES OF RI",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST JOSEPHS HEALTH SERVICES OF RI",
"enumeration_date": "2007-02-20",
"last_updated": "2009-12-01",
"deactivation_date": "2007-09-19",
"reactivation_date": "2009-12-01",
"status": "A",
"authorized_official_last_name": "KIEMIG",
"authorized_official_first_name": "H",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "401-456-3309",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "RI",
"license": "HOS00110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SJ09331",
"state": "RI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EEG GROUP",
"code": "5",
"type": "Other Name"
}
]
}Other providers in North Providence, RI
- St. Joseph Health Services of Rhode Island
- St. Joseph Health Services of Ri
- St. Joseph Health Services of Ri
- St. Joseph Health Services of Ri
- St. Joseph Health Services of Ri
- St. Joseph Health Services of Ri
- St. Joseph Hospital Cardiology Foundation
- St. Mary'S Home for Children
- St. Mary'S Home for Children
- St. Mary'S Home for Children
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.